[Federal Register Volume 83, Number 26 (Wednesday, February 7, 2018)]
[Notices]
[Pages 5427-5428]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-02433]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10453 and CMS-1856]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (the PRA), federal agencies are required to publish notice 
in the Federal Register concerning each proposed collection of 
information (including each proposed extension or reinstatement of an 
existing collection of information) and to allow 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates or any other aspect of this 
collection of information, including the necessity and utility of the 
proposed information collection for the proper performance of the 
agency's functions, the accuracy of the estimated burden, ways to 
enhance the quality, utility, and clarity of the information to be 
collected, and the use of automated collection techniques or other 
forms of information technology to minimize the information collection 
burden.

DATES: Comments must be received by April 9, 2018.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number __, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' website address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: 

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement

[[Page 5428]]

and associated materials (see ADDRESSES).

CMS-10453 The Medicare Advantage and Prescription Drug Program: Part C 
Explanation of Benefits and Supporting Regulations
CMS-1856 Request for Certification in the Medicare/Medicaid Program for 
Providers of Outpatient Physical Therapy and/or Speech-Language 
Pathology

    Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. The term 
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies 
to publish a 60-day notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
or reinstatement of an existing collection of information, before 
submitting the collection to OMB for approval. To comply with this 
requirement, CMS is publishing this notice.

Information Collection

    1. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: The Medicare Advantage and Prescription Drug Program: Part 
C Explanation of Benefits and Supporting Regulations; Use: The Medicare 
Advantage disclosure requirements in 42 CFR 422.111(b) sets out the 
authority for CMS to require that Medicare Advantage Organizations 
(MAOs) furnish a written explanation of benefits (EOB) directly to 
enrollees, in a manner specified by CMS and in a form easily 
understandable to enrollees, when benefits are provided under part 422. 
In Sec.  422.216(d)(1), all Medicare Advantage plan types that offer an 
M+C fee-for-service plan must provide to plan enrollees, for each claim 
filed by the enrollee or the provider that furnished the service, an 
appropriate explanation of benefits. The explanation must include a 
clear statement of the enrollee's liability for deductibles, 
coinsurance, copayment, and balance billing. Plans must disclose the 
information specified in Sec.  422.111(b), as specified in Sec.  
422.111(a)(3), at the time of enrollment and at least annually 
thereafter, 15 days before the annual coordinated election period. Form 
Number: CMS-10453 (OMB control number: 0938-1228); Frequency: On 
occasion; Affected Public: Private sector (Business or other for-
profits); Number of Respondents: 468; Number of Responses: 5,616; Total 
Annual Hours: 74,880. (For policy questions regarding this collection 
contact Natalie Albright at 410-786-1671.)
    2. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Request for Certification in the Medicare/Medicaid Program for 
Providers of Outpatient Physical Therapy and/or Speech-Language 
Pathology; Use: The form is used as an application to be completed by 
providers of outpatient physical therapy and/or speech-language 
pathology services requesting participation in the Medicare and 
Medicaid programs. This form initiates the process for obtaining a 
decision as to whether the conditions of participation are met as a 
provider of outpatient physical therapy, speech-language pathology 
services, or both. It is used by the State agencies to enter new 
providers into the Automated Survey Process Environment (ASPEN). Form 
Number: CMS-1856 (OMB control number: 0938-0065); Frequency: Annually, 
occasionally; Affected Public: Private sector--Business or other for-
profit and Not-for-profit institutions; Number of Respondents: 350; 
Total Annual Responses: 350; Total Annual Hours: 88. (For policy 
questions regarding this collection contact Peter Ajuonuma at 410-786-
3580.)

    Dated: February 2, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-02433 Filed 2-6-18; 8:45 am]
 BILLING CODE 4120-01-P